Henry, Michael

Henry, Michael is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Henry, Michael can be contacted via phone (207) 662-0111.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 662-0111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A168636 California
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X A168636 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD26140 Maine

Profile Details

NPI number 1649625500
LBN Legal business name Henry, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2016
Last updated Aug 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649625500 NPPES
Maine MEDICAID 1649625500

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